Caduceusblog - Latest Commentshttp://caduceusblog.disqus.com/enMon, 06 Jul 2015 00:15:13 -0000Re: An Open Letter to Washington, D.C. From a Physician on the Front Lines.http://caduceusblog.com/archives/1128#comment-2118826173<p>Congressional Republicans are proposing long and short-term alternatives to ObamaCare as the Supreme Court begins hearing oral arguments Wednesday in a case that has the potential to unravel the health care law.</p><p>The plaintiffs, four Virginia residents, argue that Americans who bought insurance through the federal ObamaCare exchange are not entitled to subsidies because the law says only those who bought policies in state exchanges are eligible.</p><p>At least 5.5 million Americans last year bought insurance on the federal exchange and received the subsidies.</p><p>Both sides in the case -- known as King v. Burwell -- generally agree that if the high court decides that millions of recipients are no longer eligible, they likely will no longer be able to afford insurance under ObamaCare and exit the system.</p><p>However, whether their departure would topple the entire health care law remains a matter of debate ahead of the expected high court ruling by June.</p><p>Last week, Health and Human Services Secretary Sylvia Burwell said nullifying the subsidies would cause "massive damage to our health care system" and that the administration would have no way to fix it.<br><a href="http://www.ketoanvn.top" rel="nofollow">kế toán</a><br><a href="http://dichvuketoanlongbien.com/" rel="nofollow">dịch vụ kế toán</a>, <a href="http://dichvuketoanlongbien.com/" rel="nofollow">dịch vụ kế toán thuế</a>, <a href="http://dichvuketoanlongbien.com/" rel="nofollow">dịch vụ kế toán trọn gói tại hà nội</a>, <a href="http://dichvuketoanlongbien.com/" rel="nofollow">công ty dịch vụ kế toán</a>, <a 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href="http://www.trungtamketoan.com.vn/p/trung-tam-dao-tao-ke-toan-tai-nghe-an.html" rel="nofollow">học kế toán tại nghệ an</a>, <a href="http://www.trungtamketoan.com.vn/p/trung-tam-dao-tao-ke-toan-tai-vung-tau.html" rel="nofollow">học kế toán tại vũng tàu</a>, <a href="http://www.trungtamketoan.com.vn/p/trung-tam-dao-tao-ke-toan-tai-dong-nai.html" rel="nofollow">học kế toán tại đồng nai</a>, <a href="http://www.trungtamketoan.com.vn/2015/05/khoa-hoc-ke-toan-quan-ly-giam-doc.html" rel="nofollow">khóa học kế toán cho giám đốc</a>, <a href="http://www.trungtamketoan.com.vn/2015/05/khoa-hoc-ke-toan-quan-ly-giam-doc.html" rel="nofollow">khóa học kế toán cho quản lý</a>, <a href="http://www.trungtamketoan.com.vn/2015/05/khoa-hoc-ke-toan-quan-ly-giam-doc.html" rel="nofollow">kế toán giám đốc</a>, <a href="http://www.trungtamketoan.com.vn/2014/06/trung-tam-ke-toan-ha-noi-dao-tao-ke-toan-thuc-te.html" rel="nofollow">học kế toán tổng hợp</a><br>The administration and Democrats who enacted the 2010 law over unanimous GOP opposition also largely back studies showing the number of people who would loses the subsidies, in the form of tax credits, is as high as 7.5 million.</p><p>And a recent analysis by the health care firm Avalere found that those who would lose their subsidies as a result of the court ruling would have their premiums increase an average 225 percent.</p><p>Ed Haislmaier, a health care policy expert with the conservative-leaning Heritage Foundation, on Tuesday predicated some fallout, or “dislocation’ but not to such an extent.</p><p>“Is the sky going to fall?” he asked. “No, but it’s probably going to rain in some places.”</p>taolataohoideolamtheMon, 06 Jul 2015 00:15:13 -0000Re: Doctors&#8217; Prescription to Reduce Gun Violencehttp://caduceusblog.com/archives/1645#comment-2117447638<p>Nice and very informative article.....I agree with this info....Thanks for info.<br><a href="http://restorationphysician.com" rel="nofollow">hormone replacement doctor</a></p>DhineshSun, 05 Jul 2015 01:55:35 -0000Re: Doctors&#8217; Prescription to Reduce Gun Violencehttp://caduceusblog.com/archives/1645#comment-2022851653<p>Dr Ramachandran</p><p>I would have replied on KevinMD but comments there are closed. I strongly disagree with the recommendations above, as they would be ineffective and easily abused. I also note that you and the linked article on <a href="http://annals.org" rel="nofollow">annals.org</a> have several statements that are simply untrue.</p><p>Universal background checks have not been shown to reduce violence at all. The "40%" figure is not credible; it comes from a single poorly done telephone survey of 251 people and requires a lot of inferring. The statement from the paper that "purchases at gun shows do not require such checks" is just wrong. Gun dealers, who have federal firearms licenses, ALWAYS have to do a background check. Their location, at a shop or a gun show, is irrelevant. Private individuals may sell to other individuals or dealers without a background check, although if they know the recipient is a prohibited person the sale is still illegal. States such as California, Massachusetts, and New Jersey, which do have universal background checks, have not shown a benefit.</p><p>Physician Gag Laws were put in place due to prosthelytizing physicians aggressively inquiring about guns in the home in the absence of medical relevance (no depression or suicidal ideation). The documentation of firearms in the medical record was also thought to be a risk; despite HIPAA the government has not restricted its own access to a patient's medical information. These "gag laws" do not restrict a physician from inquiring about access to firearms when it is relevant. Physicians also are not qualified or knowledgeable enough in general to proffer gun safety advice.</p><p>In general I have no issue with the Mental Health Awareness point, although I am concerned that it would be abused, and if a person has a crisis around a stressful event he could easily lose his right to own a gun and find it virtually impossible to regain it. The denial of a right based on an assertion, without due process, is unconstitutional.</p><p>Reporting requirements have similar problems. If there is a penalty for failing to report, and no penalty for reporting carelessly or recklessly there will be many false positives, which will have the same problem as in the previous point.</p><p>Banning "Assault Weapons" is probably the silliest point. They are no more lethal, and often less lethal, than typical hunting rifles and shotguns. Rifles, of which "assault weapons" are a subset, are involved in less than 4% of homicides involving firearms. Bans on "assault weapons" do nothing to improve public safety. Even if such a ban were perfect, and there was no substitution of other firearms, the homicide rate would drop by less than it fluctuates yearly.</p><p>The question of further research is an interesting one. It is curious how the medical literature's articles on firearms are virtually all in favor of increased gun control, to the point that one suspects that any studies offering an opposing viewpoint; or a negative result of gun control measures, would not be published. The quality of the articles that do get published is very questionable. Kellerman's A Tale of Two Cities, comparing Seattle and Vancouver, had glaring problems that the author and reviewers ignored. A more recent study on firearms in the home included a comment to the effect that the firearm had failed to save the homeowner from becoming a victim of a homicide, while ignoring the fact that if it had, that datum point would have been excluded from the study. Such intellectual dishonesty is far too common to trust the conclusions of such articles.</p><p>I would be happy to elaborate on any of these points if you are interested in a conversation. No name calling or ad hominem attacks necessary</p><p>-Paul Stoufflet, MD</p>PaulWed, 13 May 2015 14:59:38 -0000Re: An Open Letter to Washington, D.C. 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From a Physician on the Front Lines.http://caduceusblog.com/archives/1128#comment-1991375301<p>Thanks for Nice and Informative Post. This article is really contains lot more information about This Topic. -</p><p><a href="http://www.hidupsehat-alami.com/" rel="nofollow">hidup sehat alamai</a></p>alwiTue, 28 Apr 2015 05:14:41 -0000Re: An Open Letter to Washington, D.C. From a Physician on the Front Lines.http://caduceusblog.com/archives/1128#comment-1978902839<p>Thank you very much! My friends and family members will be happy after hearing about this</p><p><a href="http://goo.gl/gDZHkI" rel="nofollow">jam tangan online murah</a></p><p><a href="http://goo.gl/QmyPLe" rel="nofollow">jam tangan murah</a></p><p><a href="http://goo.gl/gDZHkI" rel="nofollow">jam tangan kw</a></p><p><a href="http://goo.gl/QmyPLe" rel="nofollow">jam tangan online</a></p>alwiTue, 21 Apr 2015 04:41:43 -0000Re: Top 5 CPAP Travel Tips from a Sleep Doctor and CPAP User.http://caduceusblog.com/archives/1582#comment-1833706346<p>Have you ever had the occasion to use one of the batteries they sell for them? For camping or some other rugged venture? I wonder how well they work.</p><p>Also, what type of cleaning schedule are you on traveling or not?</p><p>I used to clean all of the hoses, headgear and humidifier weekly and the nasal pillows daily. I'm now down to cleaning the pillows daily and the rest every two weeks or longer. I still have EDS even after excellent therapy (AHI &lt; 1) and cleaning equipment is generally the last thing on my list when exhausted.</p>GuestTue, 03 Feb 2015 21:19:19 -0000Re: An Open Letter to Washington, D.C. From a Physician on the Front Lines.http://caduceusblog.com/archives/1128#comment-1705738793<p>First of all being a doctor is something that you do because you want to. While it can be lucrative, its not a profession to pursue if you want to get rich quick. Yes there is a lot of debt that is accrued, but keep in mind that their are many that have jobs whose salaries don't even equal half of what they need to pay back. Also their are avenues that greatly reduced the debt accrued, ie; the military that are available. Also if you know you are going to be a doctor, you don't need to neccessarily go to the best schools to make it happen. This isn't just for doctors but anyone choosing a profession. While some schools are indeed top notch it isn't really necessary to invest in going to prestigious or more expensive undergrad universities knowing that you are going to post-grad/med school.</p>davidjcuFri, 21 Nov 2014 13:00:20 -0000Re: The Ones that Emory Didn&#8217;t Savehttp://caduceusblog.com/archives/1563#comment-1555736563<p>As one who was in Liberia rendering aid to the two missionaries, I will weigh in here. While the cost of the evacuation is a fair enough question, it must be realized the this was paid for with private, donated funds by Samaritan's Purse -who has a pact with it's employees to evacuate them out if possible. This has happened multiple times, it's just never in the news. I imagine McDonald's would evacuate it's sick executives out of a third-world country if needed.</p><p>Secondly, nobody is discussing how this whole incident has spurred the possibility of moving forward the development of the antibody that was used. Until this, there was nothing to indicate that the normal analysis-paralysis of drug development was different in spite of the uptick of Ebola. In fact, it is possible that had an African population been chosen to run trials on, it would have been considered racist (or whatever other term you might like to use). It is my hope that this has helped spur the speedy development of the serum so that many thousands have access to it sooner than otherwise would have happened. So in that case, the cost of this affair is more than worth it.</p><p>And lastly, it seems to me that the opportunity for American researchers to examine these two cases in a safe, controlled environment, and do follow-up studies is a bit of a gift to them. It's a much better option that the hellish, dangerous, and uncontrolled environment of a third-world Ebola clinic -trust me on that one. To think one needs to be highly experienced in internal medicine or the ICU setting belies the realities of third-world medicine. In my view and experience in international disaster response, it is those very providers who are most often handicapped and unable to function in a minimalist setting. When you don't have all the bells, whistles, and lab work, most American providers are completely lost.</p>Tim MosherSat, 23 Aug 2014 09:21:29 -0000Re: A Dream About U.S. EMR’s; A Reality in th U.K.http://caduceusblog.com/archives/1458#comment-1554047858<p>Nice and informative information best quality software such<br>as EHR Software, Software &amp; medical billing software, EMR reviews,<br>Integrated EHR with billing, EHR reviews, Integrated EMR with billing software and<br>get best pricing. <a href=" http://www.omnimd.com/products-a-services/omnircm-superior-revenue-cycle-management
" rel="nofollow">Practice Management Software</a></p>etharijhaFri, 22 Aug 2014 02:38:43 -0000Re: The Ones that Emory Didn&#8217;t Savehttp://caduceusblog.com/archives/1563#comment-1535689356<p>The nearly 10 million + spent in arranging to fly these 2 home and allocating them support and resources, could have been spent in Liberia and Nigeria and could have saved 10s to 100s of lives. Plus this guy (Brantly) was a family practice doc-they have have VERY minimal training in the inpatient setting or the ICU setting, which was needed in this disaster scenario.</p>jackSun, 10 Aug 2014 00:09:25 -0000Re: &#8220;Doctor, can I record this conversation?&#8221;http://caduceusblog.com/archives/1513#comment-1507603059<p>I recommended what Cullman Center has done to several local hospitals. Without question it yield huge benefits to all. I record not just Doctors but anyone or group just to be able to refer to and get details right- I always asked if it was ok to record, only one Doctor didn't want me to - which after getting to know of him it was evident why - didn't go back. Any Doctor that doesn't want to allow it then they should be in research and not dealing with patients directly- thanks for your insight in sharing this</p>JessSun, 27 Jul 2014 23:18:32 -0000Re: A Dream About U.S. EMR’s; A Reality in th U.K.http://caduceusblog.com/archives/1458#comment-1495347397<p>Nice and informative information shared by your blog. I really appreciate it.<br><a href="http://www.omnimd.com" rel="nofollow">Medical Billing Software</a></p>Pradeep MisraMon, 21 Jul 2014 08:15:33 -0000Re: An Open Letter to Washington, D.C. From a Physician on the Front Lines.http://caduceusblog.com/archives/1128#comment-1494668981<p>What is your salary now? If you were to live within your means and make $150-250K per year, how long would it take to wipe out $230K of debt?</p><p> <a href="http://www.kema-ryiadh.com" rel="nofollow">شركة القمة لنقل عفش<br> بالرياض</a></p><p> <a href="http://www.kema-ryiadh.com/%D8%A7%D9%81%D8%B6%D9%84-%D8%B4%D8%B1%D9%83%D8%A9-%D9%86%D8%B8%D8%A7%D9%81%D8%A9-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">شركة نظافة بالرياض</a></p><p> <a href="http://www.kema-ryiadh.com/%D8%A7%D9%81%D8%B6%D9%84-%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%81%D9%84%D9%84-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تنظيف فلل بالرياض</a></p><p> <a href="http://www.kema-ryiadh.com/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA/" rel="nofollow">تنظيف<br> خزانات بالرياض</a></p><p> <a 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rel="nofollow">شركة تنظيف كنب بالرياض</a></p><p> <a href="http://www.kahtani.net" rel="nofollow">شركة القحطاني رش المبيدات بالرياض</a></p><p> <a href="http://www.kahtani.net/%D8%B4%D8%B1%D9%83%D8%A9-%D9%85%D9%83%D8%A7%D9%81%D8%AD%D8%A9-%D8%AD%D8%B4%D8%B1%D8%A7%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">مكافحة<br> حشرات بالرياض</a></p><p> <a href="http://www.kahtani.net/%D8%B4%D8%B1%D9%83%D8%A9-%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB-%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">شركة نقل اثاث بالرياض</a></p><p> <a href="http://www.kahtani.net/%D8%BA%D8%B3%D9%8A%D9%84-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تنظيف خزانات بالرياض</a></p><p> <a href="http://www.kahtani.net/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D8%AE%D8%B2%D9%8A%D9%86-%D8%B9%D9%81%D8%B4-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تخزين اثاث</a></p><p> <a href="http://www.kahtani.net/%D8%B9%D8%B2%D9%84-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA/%D8%B9%D8%B2%D9%84-%D9%85%D8%A7%D8%A6%D9%8A/" rel="nofollow">عزل مائي</a></p><p> <a href="http://www.kahtani.net/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A7%D8%AB%D8%A7%D8%AB-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">شركة تنظيف اثاث بالرياض</a></p><p> <a href="http://www.kahtani.net/%D8%B4%D8%B1%D9%83%D8%A9-%D8%B1%D8%B4-%D9%85%D8%A8%D9%8A%D8%AF%D8%A7%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">رش مبيدات بالرياض</a></p><p> <a href="http://www.tasleek.org" rel="nofollow">افضل شركة كشف تسربات بالرياض</a></p><p> <a href="http://www.tasleek.org/%D9%83%D8%B4%D9%81-%D8%AA%D8%B3%D8%B1%D8%A8%D8%A7%D8%AA/%D8%B4%D8%B1%D9%83%D8%A7%D8%AA-%D9%83%D8%B4%D9%81-%D8%AA%D8%B3%D8%B1%D8%A8%D8%A7%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">كشف تسربات المياه</a></p><p> <a href="http://www.tasleek.org/%D8%AA%D8%B3%D9%84%D9%8A%D9%83-%D9%85%D8%AC%D8%A7%D8%B1%D9%89/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D8%B3%D9%84%D9%8A%D9%83-%D8%A7%D9%84%D9%85%D8%AC%D8%A7%D8%B1%D9%89-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تسليك مجارى بالرياض</a></p><p> <a href="http://www.tasleek.org/%D8%AA%D8%B3%D9%84%D9%8A%D9%83-%D9%85%D8%AC%D8%A7%D8%B1%D9%89/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A8%D9%8A%D8%A7%D8%B1%D8%A7%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تنظيف بيارات بالرياض</a></p><p> <a href="http://www.tasleek.org/%D8%B9%D8%B2%D9%84-%D8%A7%D8%B3%D8%B7%D8%AD/%D8%B4%D8%B1%D9%83%D8%A9-%D8%B9%D8%B2%D9%84-%D8%A7%D8%B3%D8%B7%D8%AD-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">عزل اسطح بالرياض</a></p><p> <a href="http://www.tasleek.org/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تنظيف خزانات 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href="http://www.shamel7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%B4%D9%82%D9%82-%D9%88-%D9%85%D9%86%D8%A7%D8%B2%D9%84-%D9%88%D8%A8%D9%8A%D9%88%D8%AA/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A8%D9%8A%D9%88%D8%AA/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A8%D9%8A%D9%88%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">شركة تنظيف منازل بالرياض</a></p><p> <a href="http://www.shamel7.com/%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB-2/%D8%A7%D9%81%D8%B6%D9%84-%D8%B4%D8%B1%D9%83%D8%A9-%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB/" rel="nofollow">شركة نقل اثاث بالرياض</a></p><p> <a href="http://www.shamel7.com/%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB-2/%D8%AA%D8%AE%D8%B2%D9%8A%D9%86-%D8%B9%D9%81%D8%B4-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تخزين اثاث</a></p><p> <a href="http://www.shamel7.com/%D8%B4%D8%B1%D9%83%D8%A9-%D8%A7%D9%84%D8%AA%D9%86%D8%B8%D9%8A%D9%81/%D8%B4%D8%B1%D9%83%D8%A9-%D8%B1%D8%B4-%D9%85%D8%A8%D9%8A%D8%AF%D8%A7%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">رش مبيدات بالرياض</a></p><p> <a href="http://www.shamel7.com/%D8%B4%D8%B1%D9%83%D8%A9-%D9%85%D9%83%D8%A7%D9%81%D8%AD%D8%A9-%D8%AD%D8%B4%D8%B1%D8%A7%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">مكافحة حشرات بالرياض</a></p><p> <a href="http://www.shamel7.com/%D8%B9%D8%B2%D9%84-%D9%88-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA-%D9%88%D8%A7%D8%B3%D8%B7%D8%AD/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA/" rel="nofollow">تنظيف خزانات بالرياض</a></p><p> <a href="http://www.shamel7.com/%D8%AE%D8%AF%D9%85%D8%A7%D8%AA-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A7%D8%AE%D8%B1%D9%89/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%85%D9%88%D9%83%D9%8A%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تنظيف موكيت بالرياض</a></p><p> <a href="http://www.shamel7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%81%D9%84%D9%84/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%81%D9%84%D9%84/" rel="nofollow">تنظيف فلل بالرياض</a></p><p> <a href="http://www.shamel7.com/%D8%AE%D8%AF%D9%85%D8%A7%D8%AA-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A7%D8%AE%D8%B1%D9%89/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%85%D8%AC%D8%A7%D9%84%D8%B3-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تنظيف مجالس بالرياض</a></p><p> <a href="http://www.shamel7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%B4%D9%82%D9%82-%D9%88-%D9%85%D9%86%D8%A7%D8%B2%D9%84-%D9%88%D8%A8%D9%8A%D9%88%D8%AA/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%B4%D9%82%D9%82/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%B4%D9%82%D9%82/" rel="nofollow">تنظيف شقق بالرياض</a></p><p> <a href="http://www.shamel7.com/%D9%83%D8%B4%D9%81-%D8%AA%D8%B3%D8%B1%D8%A8%D8%A7%D8%AA/%D9%83%D8%B4%D9%81-%D8%AA%D8%B3%D8%B1%D8%A8-%D8%A7%D9%84%D9%85%D9%8A%D8%A7%D8%A9/" rel="nofollow">كشف تسربات بالرياض</a></p><p> <a href="http://www.nsmat-dammam.org/%d8%ae%d8%af%d9%85%d8%a7%d8%aa-%d8%a7%d9%84%d8%aa%d8%b3%d9%84%d9%8a%d9%83-%d9%88%d8%a7%d9%84%d8%aa%d8%b3%d8%b1%d8%a8%d8%a7%d8%aa/%d8%b4%d8%b1%d9%83%d8%a9-%d9%83%d8%b4%d9%81-%d8%aa%d8%b3%d8%b1%d8%a8%d8%a7%d8%aa-%d8%a7%d9%84%d9%85%d9%8a%d8%a7%d9%87-%d8%a8%d8%a7%d9%84%d8%af%d9%85%d8%a7%d9%85/" rel="nofollow">شركة كشف تسربات المياه<br> بالدمام</a></p><p> <a href="http://www.nsmat-dammam.org/%d9%85%d9%83%d8%a7%d9%81%d8%ad%d8%a9-%d8%a7%d9%84%d8%ad%d8%b4%d8%b1%d8%a7%d8%aa-%d9%88%d8%b1%d8%b4-%d8%a7%d9%84%d9%85%d8%a8%d9%8a%d8%af%d8%a7%d8%aa/%d8%b4%d8%b1%d9%83%d8%a9-%d8%b1%d8%b4-%d9%85%d8%a8%d9%8a%d8%af%d8%a7%d8%aa-%d8%a8%d8%a7%d9%84%d8%af%d9%85%d8%a7%d9%85/" rel="nofollow">شركة رش مبيدات بالدمام</a></p><p> <a href="http://www.nsmat-dammam.org/%d8%b9%d8%b2%d9%84-%d9%88%d8%aa%d9%86%d8%b8%d9%8a%d9%81-%d8%a7%d9%84%d8%ae%d8%b2%d8%a7%d9%86%d8%a7%d8%aa/%d8%b4%d8%b1%d9%83%d8%a9-%d8%aa%d9%86%d8%b8%d9%8a%d9%81-%d8%ae%d8%b2%d8%a7%d9%86%d8%a7%d8%aa-%d8%a8%d8%a7%d9%84%d8%af%d9%85%d8%a7%d9%85/" rel="nofollow">شركة تنظيف خزانات بالدمام</a></p><p> <a href="http://www.nsmat-dammam.org/%d8%ae%d8%af%d9%85%d8%a7%d8%aa-%d8%a7%d9%84%d8%aa%d8%b3%d9%84%d9%8a%d9%83-%d9%88%d8%a7%d9%84%d8%aa%d8%b3%d8%b1%d8%a8%d8%a7%d8%aa/%d8%b4%d8%b1%d9%83%d8%a9-%d8%aa%d9%86%d8%b8%d9%8a%d9%81-%d8%a8%d9%8a%d8%a7%d8%b1%d8%a7%d8%aa-%d8%a8%d8%a7%d9%84%d8%af%d9%85%d8%a7%d9%85/" rel="nofollow">شركة تنظيف بيارات بالدمام</a></p><p> <a href="http://www.nsmat-dammam.org/%d8%ae%d8%af%d9%85%d8%a7%d8%aa-%d8%a7%d9%84%d8%aa%d8%b3%d9%84%d9%8a%d9%83-%d9%88%d8%a7%d9%84%d8%aa%d8%b3%d8%b1%d8%a8%d8%a7%d8%aa/%d8%b4%d8%b1%d9%83%d8%a9-%d8%aa%d8%b3%d9%84%d9%8a%d9%83-%d9%85%d8%ac%d8%a7%d8%b1%d9%8a-%d8%a8%d8%a7%d9%84%d8%af%d9%85%d8%a7%d9%85/" rel="nofollow">شركة تسليك مجاري بالدمام</a></p><p> <a href="http://www.nsmat-dammam.org/%d9%85%d9%83%d8%a7%d9%81%d8%ad%d8%a9-%d8%a7%d9%84%d8%ad%d8%b4%d8%b1%d8%a7%d8%aa-%d9%88%d8%b1%d8%b4-%d8%a7%d9%84%d9%85%d8%a8%d9%8a%d8%af%d8%a7%d8%aa/%d8%b4%d8%b1%d9%83%d8%a9-%d9%85%d9%83%d8%a7%d9%81%d8%ad%d8%a9-%d8%ad%d8%b4%d8%b1%d8%a7%d8%aa-%d8%a8%d8%a7%d9%84%d8%af%d9%85%d8%a7%d9%85/" rel="nofollow">شركة مكافحة حشرات بالدمام</a></p><p> <a href="http://www.nsmat-dammam.org/%d8%ae%d8%af%d9%85%d8%a7%d8%aa-%d8%a7%d9%84%d8%aa%d9%86%d8%b8%d9%8a%d9%81/%d8%b4%d8%b1%d9%83%d8%a9-%d8%aa%d9%86%d8%b8%d9%8a%d9%81-%d9%85%d9%86%d8%a7%d8%b2%d9%84-%d8%a8%d8%a7%d9%84%d8%af%d9%85%d8%a7%d9%85/" rel="nofollow">شركة تنظيف منازل بالدمام</a></p><p> <a href="http://www.nsmat-dammam.org/%d8%ae%d8%af%d9%85%d8%a7%d8%aa-%d8%a7%d9%84%d8%aa%d9%86%d8%b8%d9%8a%d9%81/%d8%b4%d8%b1%d9%83%d8%a9-%d8%aa%d9%86%d8%b8%d9%8a%d9%81-%d9%81%d9%84%d9%84-%d8%a8%d8%a7%d9%84%d8%af%d9%85%d8%a7%d9%85/" rel="nofollow">شركة<br> تنظيف فلل بالدمام</a></p><p> <a href="http://www.nsmat-dammam.org/%d8%ae%d8%af%d9%85%d8%a7%d8%aa-%d8%a7%d9%84%d8%aa%d9%86%d8%b8%d9%8a%d9%81/%d8%b4%d8%b1%d9%83%d8%a9-%d8%aa%d9%86%d8%b8%d9%8a%d9%81-%d8%a8%d8%a7%d9%84%d8%af%d9%85%d8%a7%d9%85/" rel="nofollow">شركة تنظيف بالدمام</a></p><p> <a href="http://www.nsmat-dammam.org/%d9%85%d9%83%d8%a7%d9%81%d8%ad%d8%a9-%d8%a7%d9%84%d8%ad%d8%b4%d8%b1%d8%a7%d8%aa-%d9%88%d8%b1%d8%b4-%d8%a7%d9%84%d9%85%d8%a8%d9%8a%d8%af%d8%a7%d8%aa/" rel="nofollow">مكافحة<br> الحشرات ورش المبيدات</a></p><p> <a href="http://www.hamd-almadinah.org" rel="nofollow">تنظيف بيوت بالمدينة</a></p><p> <a href="http://www.hamd-dammam.org" rel="nofollow">تنظيف منازل بالدمام</a></p><p> <a href="http://www.hamd-jeddah.org" rel="nofollow">نقل عفش</a></p><p> <a href="http://www.nsmat-dammam.org" rel="nofollow">عزل أسطح بالدمام</a></p><p> <a href="http://www.omery-dammam.org" rel="nofollow">شركة تنظيف خزانات<br> بالدمام</a></p><p> <a href="http://www.nsmat-almadinah.org" rel="nofollow">نقل عفش بالمدينة</a></p><p> <a href="http://www.shahrany.org" rel="nofollow">عزل أسطح بالرياض</a></p><p> <a href="http://www.nsmat-jeddah.org" rel="nofollow"> تنظيف فلل بجده</a></p><p> <a href="http://www.forsan-kharj.org" rel="nofollow">شركة تنظيف منازل بالخرج</a></p><p> <a href="http://www.kema-dammam.org" rel="nofollow">عزل أسطح بالدمام</a></p><p> <a href="http://www.nile-dammam.org" rel="nofollow">نقل عفش الدمام</a></p><p> <a href="http://www.nile7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A8%D9%8A%D9%88%D8%AA/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A8%D9%8A%D9%88%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6" rel="nofollow">شركة<br> تنظيف بيوت بالرياض </a></p><p> <a href="http://www.nile7.com/%D9%86%D9%82%D9%84-%D8%B9%D9%81%D8%B4/%D8%A7%D8%B3%D8%B9%D8%A7%D8%B1-%D9%86%D9%82%D9%84-%D8%A7%D9%84%D8%B9%D9%81%D8%B4-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6" rel="nofollow">اسعار نقل العفش بالرياض </a></p><p> <a href="http://www.nile7.com/%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB/%D8%B4%D8%B1%D9%83%D8%A9-%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB-%D8%A8%D8%A7%D9%84%D9%85%D8%AF%D9%8A%D9%86%D8%A9-%D8%A7%D9%84%D9%85%D9%86%D9%88%D8%B1%D8%A9" rel="nofollow">شركة نقل اثاث بالمدينة<br> المنورة </a></p><p> <a href="http://www.nile7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%85%D9%86%D8%A7%D8%B2%D9%84/%D8%B4%D8%B1%D9%83%D8%A7%D8%AA-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A7%D9%84%D9%85%D9%86%D8%A7%D8%B2%D9%84-%D9%81%D9%8A-%D8%AC%D8%AF%D8%A9" rel="nofollow">شركات تنظيف المنازل في جدة<br> </a></p><p> <a href="http://www.nile7.com/%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB/%D8%B4%D8%B1%D9%83%D8%A9-%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6" rel="nofollow">شركة نقل اثاث بالرياض </a></p><p> <a href="http://www.nile7.com/%D8%AA%D8%B3%D9%84%D9%8A%D9%83-%D8%A7%D9%84%D9%85%D8%AC%D8%A7%D8%B1%D9%89/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D8%B3%D9%84%D9%8A%D9%83-%D9%85%D8%AC%D8%A7%D8%B1%D9%89-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6" rel="nofollow">شركة تسليك مجارى بالرياض </a></p><p> <a href="http://www.nile7.com/%D8%AA%D8%AE%D8%B2%D9%8A%D9%86-%D8%A7%D8%AB%D8%A7%D8%AB/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D8%AE%D8%B2%D9%8A%D9%86-%D8%A7%D8%AB%D8%A7%D8%AB-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6" rel="nofollow">شركة<br> تخزين اثاث بالرياض </a></p><p> <a href="http://www.nile7.com/%D9%85%D9%83%D8%A7%D9%81%D8%AD%D8%A9-%D8%A7%D9%84%D8%AD%D8%B4%D8%B1%D8%A7%D8%AA/%D8%B4%D8%B1%D9%83%D8%A7%D8%AA-%D8%B1%D8%B4-%D8%A7%D9%84%D9%85%D8%A8%D9%8A%D8%AF%D8%A7%D8%AA-%D8%A7%D9%84%D8%AD%D8%B4%D8%B1%D9%8A%D8%A9-%D8%A8%D8%AC%D8%AF%D8%A9" rel="nofollow">شركات رش المبيدات الحشرية<br> بجدة </a></p><p> <a href="http://www.nile7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA/%D8%B4%D8%B1%D9%83%D9%87-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA-%D8%A8%D8%AC%D8%AF%D8%A9" rel="nofollow">شركه تنظيف خزانات بجدة </a></p><p> <a href="http://www.nile7.com/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A8%D9%85%D9%83%D8%A9" rel="nofollow">شركة تنظيف بمكة </a></p><p> <a href="http://www.nile7.com/%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB/%D8%B4%D8%B1%D9%83%D8%A9-%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB-%D8%A8%D8%AC%D8%AF%D8%A9" rel="nofollow">شركة نقل اثاث بجدة </a></p><p> <a href="http://www.nile7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA/%D8%B4%D8%B1%D9%83%D9%87-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA-%D8%A8%D8%A7%D9%84%D8%AF%D9%85%D8%A7%D9%85" rel="nofollow">شركه<br> تنظيف خزانات بالدمام </a></p><p> <a href="http://www.nile7.com/%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB/%D8%B4%D8%B1%D9%83%D9%87-%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB-%D8%A8%D9%85%D9%83%D8%A9" rel="nofollow">شركه<br> نقل اثاث بمكة </a></p><p> <a href="http://www.nile7.com/%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB/%D8%B4%D8%B1%D9%83%D8%A9-%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB-%D8%A8%D8%A7%D9%84%D8%AF%D9%85%D8%A7%D9%85" rel="nofollow">شركة نقل اثاث بالدمام </a></p><p> <a href="http://www.nile7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%85%D9%86%D8%A7%D8%B2%D9%84/%D8%A7%D9%81%D8%B6%D9%84-%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%85%D9%86%D8%A7%D8%B2%D9%84-%D8%A8%D8%A7%D9%84%D9%85%D8%AF%D9%8A%D9%86%D8%A9-%D8%A7%D9%84%D9%85%D9%86%D9%88%D8%B1%D8%A9" rel="nofollow"> شركة تنظيف منازل بالمدينة<br> المنورة </a></p><p> <a href="http://www.nile7.com/%D8%B9%D8%B2%D9%84-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA/%D8%B4%D8%B1%D9%83%D8%A7%D8%AA-%D8%B9%D8%B2%D9%84-%D9%85%D8%A7%D8%A6%D9%8A" rel="nofollow">شركات عزل مائي </a></p><p> <a href="http://www.nile7.com/%D9%85%D9%83%D8%A7%D9%81%D8%AD%D8%A9-%D8%A7%D9%84%D8%AD%D8%B4%D8%B1%D8%A7%D8%AA/%D8%B4%D8%B1%D9%83%D8%A9-%D9%85%D9%83%D8%A7%D9%81%D8%AD%D8%A9-%D8%AD%D8%B4%D8%B1%D8%A7%D8%AA-%D8%AC%D8%AF%D8%A9" rel="nofollow">شركة مكافحة حشرات جدة </a></p><p> <a href="http://www.nile7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%81%D9%84%D9%84/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%81%D9%84%D9%84-%D8%A8%D8%A7%D9%84%D8%AF%D9%85%D8%A7%D9%85" rel="nofollow">تنظيف فلل بالدمام </a></p><p> <a href="http://www.nile7.com/%D9%85%D9%83%D8%A7%D9%81%D8%AD%D8%A9-%D8%A7%D9%84%D8%AD%D8%B4%D8%B1%D8%A7%D8%AA/%D8%B4%D8%B1%D9%83%D8%A7%D8%AA-%D9%85%D9%83%D8%A7%D9%81%D8%AD%D8%A9-%D8%A7%D9%84%D8%AD%D8%B4%D8%B1%D8%A7%D8%AA-%D9%81%D9%89-%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6" rel="nofollow"> شركات مكافحة الحشرات فى<br> الرياض </a></p><p> <a href="http://www.nile7.com/%D8%A7%D9%81%D8%B6%D9%84-%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A8%D8%A7%D9%84%D8%AE%D8%B1%D8%AC" rel="nofollow">افضل شركة تنظيف بالخرج </a></p>jakiSun, 20 Jul 2014 18:54:25 -0000Re: An Open Letter to Washington, D.C. From a Physician on the Front Lines.http://caduceusblog.com/archives/1128#comment-1490633819<p>very well said, Dr Moeller.</p>Ash PatilThu, 17 Jul 2014 20:18:49 -0000Re: An Open Letter to Washington, D.C. From a Physician on the Front Lines.http://caduceusblog.com/archives/1128#comment-1472027576<p>You are deluding yourself if you think that you would not have the same debt if you went to law school. Most law students graduate with close to $200k of debt.</p>CarlMon, 07 Jul 2014 09:36:57 -0000Re: An Open Letter to Washington, D.C. From a Physician on the Front Lines.http://caduceusblog.com/archives/1128#comment-1471625725<p><a href="http://www.kema-ryiadh.com/%D8%B4%D8%B1%D9%83%D8%A9-%D8%B1%D8%B4-%D9%85%D8%A8%D9%8A%D8%AF-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">رش<br> مبيدات بالرياض</a></p><p> <a href="http://www.omery.org/%D8%B9%D8%B2%D9%84-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA/%D8%B4%D8%B1%D9%83%D8%A9-%D8%B9%D8%B2%D9%84-%D9%85%D8%A7%D8%A6%D9%8A/" rel="nofollow">شركة عزل مائي</a></p><p> <a href="http://riyadh-cleaning.com/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%85%D8%AC%D8%A7%D9%84%D8%B3-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تنظيف مجالس بالرياض</a></p><p> <a href="http://www.almnara.org/%D8%B4%D8%B1%D9%83%D8%A9-%D9%86%D8%B8%D8%A7%D9%81%D8%A9-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تنظيف خزانات بالرياض</a></p><p> <a href="http://www.almnara.org/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A8%D9%8A%D9%88%D8%AA-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">شركة تنظيف منازل بالرياض</a></p><p> <a href="http://www.zohra.org/%D8%AA%D8%B3%D9%84%D9%8A%D9%83-%D9%85%D8%AC%D8%A7%D8%B1%D9%89/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D8%B3%D9%84%D9%8A%D9%83-%D9%85%D8%AC%D8%A7%D8%B1%D9%89/" rel="nofollow">تسليك مجارى بالرياض</a></p><p> <a href="http://www.tasleek.org/%D8%B9%D8%B2%D9%84-%D9%85%D8%A7%D8%A6%D9%8A/" rel="nofollow">شركة عزل مائي الرياض</a></p><p> <a href="http://www.shamel7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%81%D9%84%D9%84/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%81%D9%84%D9%84/" rel="nofollow">تنظيف فلل بالرياض</a></p><p> <a href="http://www.shamel7.com/%D8%AE%D8%AF%D9%85%D8%A7%D8%AA-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A7%D8%AE%D8%B1%D9%89/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D9%85%D8%AC%D8%A7%D9%84%D8%B3-%D8%A8%D8%A7%D9%84%D8%B1%D9%8A%D8%A7%D8%B6/" rel="nofollow">تنظيف مجالس بالرياض</a></p><p> <a href="http://www.nsmat-dammam.org/%d9%85%d9%83%d8%a7%d9%81%d8%ad%d8%a9-%d8%a7%d9%84%d8%ad%d8%b4%d8%b1%d8%a7%d8%aa-%d9%88%d8%b1%d8%b4-%d8%a7%d9%84%d9%85%d8%a8%d9%8a%d8%af%d8%a7%d8%aa/" rel="nofollow">مكافحة<br> الحشرات ورش المبيدات</a></p><p> <a href="http://www.forsan-kharj.org" rel="nofollow">شركة تنظيف منازل بالخرج</a></p><p> <a href="http://www.kema-dammam.org" rel="nofollow">عزل أسطح بالدمام</a></p><p> <a href="http://www.nile-dammam.org" rel="nofollow">نقل عفش الدمام</a></p><p> <a href="http://www.nile7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA/%D8%B4%D8%B1%D9%83%D9%87-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA-%D8%A8%D8%AC%D8%AF%D8%A9" rel="nofollow">شركه تنظيف خزانات بجدة </a></p><p> <a href="http://www.nile7.com/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81/%D8%B4%D8%B1%D9%83%D8%A9-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%A8%D9%85%D9%83%D8%A9" rel="nofollow">شركة تنظيف بمكة </a></p><p> <a href="http://www.nile7.com/%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB/%D8%B4%D8%B1%D9%83%D8%A9-%D9%86%D9%82%D9%84-%D8%A7%D8%AB%D8%A7%D8%AB-%D8%A8%D8%AC%D8%AF%D8%A9" rel="nofollow">شركة نقل اثاث بجدة </a></p><p> <a href="http://www.nile7.com/%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA/%D8%B4%D8%B1%D9%83%D9%87-%D8%AA%D9%86%D8%B8%D9%8A%D9%81-%D8%AE%D8%B2%D8%A7%D9%86%D8%A7%D8%AA-%D8%A8%D8%A7%D9%84%D8%AF%D9%85%D8%A7%D9%85" rel="nofollow">شركه<br> تنظيف خزانات بالدمام </a></p><p> <a href="http://kenanaonline.com/users/jakibadr/" rel="nofollow">here</a></p><p> <a href="http://jijibadr.tumblr.com/" rel="nofollow">here</a></p><p> <a href="http://jakinile7.weebly.com/ " rel="nofollow">here</a></p><p> <a href="http://nile7marketing.blogspot.com/" rel="nofollow">here</a></p><p> <a href="http://jakibadrnile7.wordpress.com/ " rel="nofollow">here</a></p><p> <a href="http://jakibadr.wordpress.com/" rel="nofollow">here</a></p><p> <a href="https://storify.com/jakibadr/" rel="nofollow">here</a></p><p> <a href="http://jakinile7.ucoz.net/" rel="nofollow">here</a></p><p> <a href="http://jijibadr.deviantart.com/journal/" rel="nofollow">here</a></p>jaklin badrMon, 07 Jul 2014 00:41:58 -0000Re: Motorcycle Accident Medical Claims Increase After Michigan Rescinds Helmet Law.http://caduceusblog.com/archives/1216#comment-1471624873<p><a href="https://storify.com/jakibadr/" rel="nofollow">here</a></p>jaklin badrMon, 07 Jul 2014 00:40:32 -0000Re: An Open Letter to Washington, D.C. From a Physician on the Front Lines.http://caduceusblog.com/archives/1128#comment-1470530032<p>You know, I am a firm believer that higher public education (like healthcare) should be free, and malpractice law needs a firm overhaul, but it's really difficult for me to sympathize with doctors complaining about their lot in life. Don't get me wrong - $230,000 of debt is unacceptable, and time with one's family is invaluable, particularly when children are young. And as someone going into the medical field, I understand that there is sacrifice involved. HOWEVER! If I read about one more doctor saying how they only make "minimum wage" I might hit something. I would like you, dear doctor, to ACTUALLY TRY TO LIVE on what people who really make minimum wage live on. And then you can complain about how hard your life is.</p>DanielleSun, 06 Jul 2014 10:08:25 -0000Re: An Open Letter to Washington, D.C. From a Physician on the Front Lines.http://caduceusblog.com/archives/1128#comment-1470470782<p>Cry me a river. Dude, that student debt amount sounds like a shocking amount of money, I agree. But everyone who attains an advanced education emerges with a large amount of debt, and most won't earn anywhere near what you will earn over the course of your lifetime to pay it back. If your lament had been about how ridiculous the cost of education has gotten, you'd have a lot of people on your side. But your lament was about how rough you poor little rich doctors have it. The only people moved by your lament were other self-entitled physicians.</p>KatySun, 06 Jul 2014 09:46:50 -0000Re: The PROCESS Trial: End of the Line for Central Lines?http://caduceusblog.com/archives/1507#comment-1321828554<p>Great blog! I can't agree more with you that EGDT changed the picture, much as I disagreed with many interventions in it, as I've stated loud and often. As you say, it was great to shake people into doing something that was better than nothing. My concern, however, is with the heterogeneity of medical practice quality. Though a front line soldier, you clearly assess the literature with interest, passion and a keen eye. I don't think everyone out there does the same, and I am concerned that the Process results could cause a step back, with some regressing to their usual care, not necessarily equal to the usual care in ProCESS...</p><p>keep up the great posts!</p>Philippe RolaSun, 06 Apr 2014 21:47:01 -0000Re: Dear Physicians: You Are Far More Wealthy Than You Know.http://caduceusblog.com/archives/1411#comment-1272217038<p>Dr. Layon: It is true that many doctors are libertarian minded, meaning socially progressive, economically conservative, I suppose. Or perhaps better: many doctors are in favor of individual freedom. This ethos is very consistent with the disgust that such doctors have both for the crony-corporatist Obamacare, as well as the only slightly less crony-corporatist system of health care prior to Obamacare. I think the term "fascist" is fairly apropos for Obamacare (somewhat moreso than the previous system), and AMA's support for it is typical to me of AMA's generally crony-corporatist tendencies--which are exemplified by their cash-cow CPT codes, which through the satanic deal with CMS, creates the-no-less-than INSANE price controlling manacles for all of us.</p><p>I admittedly struggle to understand the mentality of those who support Obamacare. I suppose the supporters fit into one of several very different mentalities. 1) outright fascists, 2) hopeful socialists thinking that Obamacare is a step in the right direction; 3) people who feel we "have to do something" but don't care enough to do the something wisely. All three of the groups want to force everyone to abide by their preferences: the first group is sick, the second group is probably caring and concerned but suffer from a failure of humility that allows them to justify use of force against their fellow man, and the third group are I suppose just lazy.</p><p>The notion of "can't we all just live together in peace" is really nice. I love it. The only way to live together in peace is for people to stop using force (and fraud) against others. Persuasion is a great thing to try. But force is wrong. Fascism and socialism involve force and threats of force, and therefore, regardless of potentially positive outcomes (efficiency in fascism, equality of outcomes in pure socialism), they are unacceptable to me, for the ends never justify immoral means. And no matter how you slice it, fascism (obamacare) and socialism require force to implement, and are therefore immoral and unacceptable.</p><p>There are ways to accomplish good goals without relying on evil means. But they require humility, respect for people, and a letting go of the control mentality. They require respect for freedom, voluntary generosity, and the abundance mentality that can be created when people voluntarily synergize.</p>ASSUME THE PHYSICIAN, by John Wed, 05 Mar 2014 21:11:30 -0000Re: CPR in Flighthttp://caduceusblog.com/archives/578#comment-1271801543<p>The airline cannot compel anyone to act against their judgement. While it was nice of those physicians to help out the flight attendant, they weren't required to. Not pronouncing a patient dead in flight would at least help with the jurisdictional problem of where they died and who would sign the death certificate.</p><p>Tough spot, glad it wasn't me (in any of the positions described).</p>GruntDocWed, 05 Mar 2014 15:35:08 -0000Re: Dear Physicians: You Are Far More Wealthy Than You Know.http://caduceusblog.com/archives/1411#comment-1262798258<p>Thank you.</p>AbrahamThu, 27 Feb 2014 07:19:32 -0000Re: An Open Letter to Washington, D.C. From a Physician on the Front Lines.http://caduceusblog.com/archives/1128#comment-1209171739<p><a href="http://www.nytimes.com/2014/01/19/health/patients-costs-skyrocket-specialists-incomes-soar.html?ref=health&amp;_r=0" rel="nofollow">http://www.nytimes.com/2014/01...</a></p><p>Ironically, I both am a healthcare professional and I'm married to a physician as well. The fact that we value specialized care in America at the expense of preventative care is appalling to me. That 80-90% of the medical problems we deal with in a hospital are the result of poor lifestyle choices. As a culture, we go out of our way to encourage these poor lifestyle choices as well.</p><p>Physicians who provide procedures make more money because our system places an emphasis on interventions versus time spent with patients. A GI doc like above will make far more over 10 minutes with a patient than a primary care doc spending an hour counseling a patient on diabetes.</p><p>Now specialized physicians are of course important and are required. But we place way too much of an emphasis and value on a dermatologists ability to do a Moh's procedure (see above) when most of those procedures are unnecessary.</p>steveMon, 20 Jan 2014 09:41:23 -0000